— 照護管理 · EASY · MCQ —
護理長將任務指派給護理助理（NA），下列哪項任務適當？
A nurse manager is delegating tasks to a nursing assistant (NA). Which task is appropriate for the NA?
- ATeaching the client about the side effects of their new blood pressure medication教導病人有關其新開立降壓藥物的副作用
- BEvaluating the effectiveness of a wound dressing change評估傷口換藥的效果
- CAdministering oral medications to a stable client給予穩定病人口服藥物
- DAssisting a client with a stroke to ambulate to the bathroom✓ 正解協助中風病人步行至廁所
— Explanation · 中文詳解 —
護理委派（Delegation）必須遵循「五項權利」（Five Rights of Delegation）：正確的任務、情況、人員、溝通與監督。護理助理（NA）的職責範疇限於穩定病人的例行性活動（ADLs）與基本照護。護理師必須負責專業評估、衛教與給藥，這些任務涉及臨床判斷，不可委派。本題中，協助中風病人行走屬於復健階段的例行支持，若病人狀態穩定，符合委派原則。
Assisting a stable client with ambulation is a standard activity of daily living that falls within the nursing assistant's scope of practice. Tasks requiring professional nursing judgment, such as patient education, wound evaluation, and medication administration, must remain with the licensed nurse.
✦ 台美臨床差異
在美國，NA 或 CNA（Certified Nursing Assistant）的職責範疇由各州護理委員會明確規範。台灣臨床中，照服員的任務範疇較彈性，有時會跨越美國嚴格定義的 RN 職責，但赴美應嚴格遵守美國的委派法規。